Active NPI
Sandra I Rivera Llamas, M.D.
- General Practice Physician
- San Juan, PR
National Provider Identifier
1043200710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 15244
- Practice address
- Ave Lomas Verde 1790. Bo Monacillos
Plaza Olmedo
San Juan, PR 00926 - Phone
- (787) 752-6767
- NPI assigned
- Oct 25, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 15244 | PR | Primary |
Addresses
Primary practice location
Ave Lomas Verde 1790. Bo Monacillos
Plaza Olmedo
San Juan, PR 00926
Mailing address
Cond la Coruna 2023
Apt 2301 Carr 177
Guaynabo, PR 00969
Phone (787) 460-6016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laboratorio Clinico San Juan Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- San Juan, PR
- NPI 1255665261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381449600000",
"number": "1043200710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COND LA CORUNA 2023",
"address_2": "APT 2301 CARR 177",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-460-6016",
"fax_number": "787-268-3792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE LOMAS VERDE 1790. BO MONACILLOS",
"address_2": "PLAZA OLMEDO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-752-6767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA LLAMAS",
"first_name": "SANDRA",
"middle_name": "I",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-25",
"last_updated": "2013-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "15244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.